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Get HI MCBH Registration Form Children Youth and Teen Programs 2010-2024

Visor on duty, my child may be transported to the Branch Medical Clinic (MCBH), Tripler Army Hospital, and/or Preventive Medicine for medical examination/treatment that is deemed desirable by the personnel of the medical facility. Emergency Contact Information: I authorize the following people to pick up or drop off my child: (You must list at least 2 other contacts besides mother/father who live on-island and must be able to reach the site within one (1) hour) Name Relationship Address Hom.

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